| NPI | 1689645780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: WV 10651) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: WV 10651) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2007-07-08 |